Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $389.05 / $602.56	Facility		$229.09	$389.05	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $363.08	Professional		$229.09	$229.09	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $575.44 / $2,290.87	Facility		$218.78	$575.44	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $575.44	Professional		$194.98	$302.00	$575.44
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $371.54	Facility		$190.55	$190.55	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $245.47	Professional		$229.09	$229.09	$245.47